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Age
   
 
 
 
Gender
 
Male
 
Female
 
 
 
Class year
 
Freshman
 
Sophomore
 
Junior
 
Senior
 
 
 
Major
   
 
 
 
Please list your top three most visited websites:
   
 
 
 
Average amount of time spent online per day?
 
0-1 hours
 
2-3 hours
 
4-5 hours
 
More than 5 hours
 
 
 
How often do you feel you still want to stay online when you go off the Internet?
 
Always
 
Frequently
 
Sometimes
 
Infrequently
 
Never
 
 
 
How often do you block out disturbing thoughts about your life with soothing thoughts of the Internet?
 
Always
 
Frequently
 
Sometimes
 
Infrequently
 
Never
 
 
 
How often do your grades or schoolwork suffer because of the amount of time you spend online?
 
Always
 
Frequently
 
Sometimes
 
Infrequently
 
Never
 
 
 
How often do you lose track of time or feel that time goes faster than expected when you are online?
 
Always
 
Frequently
 
Sometimes
 
Infrequently
 
Never
 
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